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Number: Number:
1. I declare that the information provided in this application form is true andcorrect.
Giving false or misleading information is an offence under the regulations
2. I understand that the information provided in this application will allow DGCA to calculatean
estimate for service for processing this application.
3. I understand and agree that the cost estimate may change, and processing the application may be delayed if:
The application does not accurately and completely identify my requirements; or
The details in this application are subsequently changed; or
Adequate supporting documentation has not been provided.
4. I understand and agree that for DGCA to proceed with this application, I / We must:
Accept the cost estimate; and
Forward the prescribed payment; and
Forward all supporting documentation to the Permissions Issue Team.
5. I give permission for DGCA to send material relating to this application by email.
Yes No
Note: I am aware of, and accept, the risk that information sent via email may be intercepted and read during
transmission, not delivered or modified. (If you do not accept, material will be sent bypost).
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